与儿科心脏导管治疗中严重不良事件相关的危险因素
Tatiana Cala1, Carlos Alberto Guzmán-Serrano2, Valentina Mejía-Quiñones3,4
1Servicio de Cardiología Pediátrica, Departamento Materno Infantil, Fundación Valle del Lili, Cali, Colombia.
Pediatric cardiology
|July 9, 2025
概括
对于先天性心脏病的儿科心脏导管治疗,严重不良事件发生率为2.07%. 程序安排和患者的血液动力学稳定性是这些事件的关键风险因素.
科学领域:
- 心脏病学 心脏病学
- 儿科医学 儿科医学
- 干预心脏病学 干预心脏病学
背景情况:
- 儿科心脏导管治疗对于诊断和管理先天性心脏病至关重要.
- 虽然它与手术相比具有优势,但它存在不良事件的风险.
- 严重不良事件的风险因素尚未确立,特别是在拉丁美洲.
研究的目的:
- 确定儿科心脏导管治疗中严重不良事件的危险因素.
- 专注于哥伦比亚西南部的一家医院.
主要方法:
- 回顾性单中心研究.
- 分析了986名患有先天性心脏病的儿科患者 (18岁以下) 的数据.
- 使用了单变量,双变量和多变量分析.
主要成果:
- 严重不良事件的发生率为2.07%.
- 多变量分析确定了手术时间表和血液动力学稳定性是显著的风险因素.
- 与特定安排 (2.32x) 和不稳定 (2.96x) 相关的风险增加.
结论:
- 程序安排和程序前的血液动力学稳定性是影响严重不良事件的关键因素.
- 在导管注射之前优化患者的临床稳定性对于患者的安全至关重要.
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